| NPI | 1730145574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M. MARKHAM President 231-487-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2012-06-07 |